Individual provider · Type 1 NPI

Amanda Ruth Petersen, MSW

Mental Health Counselor · Baker City, OR

NPI number 1154760627 Active

Practice location

2200 4th St
Baker City, OR 97814-2615

Call (541) 523-3646 Map

Mailing address

42266 Rouen Rd
Baker City, OR 97814-8103

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1154760627

Amanda Ruth Petersen, MSW's National Provider Identifier is 1154760627, issued on Jun 18, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Baker City, OR. The record was last updated on Jun 18, 2013.